398 Sherry Dr 2014 Shed (2) LAAj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000653 Date 5/16/14
Property Address . . . . . . 398 SHERRY DR
Application type description SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
9 x 14 shed
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Owner Contractor
------------------------ ------------------------
EVANS,JOHN R LIVING TRUST OWNER
14701 MARSHVIEW DR
JACKSONVILLE BEACH FL 322502063
----------------------------------------------------------------------------
Permit . . . . . . W/W/O BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation . . . . 3SO
Expiration Date . . 11/12/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
ENG REV BLDG MOD OR ROW 25 . 00
STATE DBPR SURCHARGE 2 . 00
UTIL REV MODIF OR ROW 25 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 S5 . 00 . 00 . 00
Other Fee Total 54 . 00 54 . 00 . 00 . 00
Grand Total 219 . 00 219 . 00 . 00 . 00
PERMIT IS APPROVED ONLt' IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE COPY 800 Seminole Road, Atlantic Beach,Fl, 32233
Office (904)247-5826 Fax (904) 247-5845 ffjA
PR 2 4 2014
f3y
Job Address: 398 sheLry drive, Atlantic Beach, Fl. 32233 Permit Number: LL4t�
Legal Description /6 /(P-,is .-d-qc�- Sec -3 /-f 3(p.�- Parcel # 1-7-3f 515-ODOC.)
Floor Area of Sq.Ft. Sq Ft
Valuation of Work$ 3 —Proposed Work heated/cooled 1,i-�;-F no'n-heated/cooled jq�t
Class of Work(circle one): New Addition Alteration Repair 00A Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial r_D_�
Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): es N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 3�,l
Property Owner Information:
Name:,Vly, k(Fv,,5 '(rrenL-Ve 1�� T64- Address: Sker�r�j D(,
City A-16ottc 6c-L -/StateE:.Zip -32z_s"3 Phone jo-1- 5-(.C, I-
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: city State zip
Office Phone Job Site/Contact Number Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca ere ade am a e it d he and n 1�rons a nd cat d e ' ha n rk or installation has commencedprior to the
y' t 0 wo
n to work to s r
nstruc"on in thisjurisdiction. nis permit becomes null
,q 0
e I 'gr Cao or
1, r t 0 0 t Zt, s s c
an "O� ' in to o't r p b dto in he stan ds a aw e a n
and ho a k e e e
P" is by
ce a erm m
ssu
tr 0 k is s d d 0 b d ned a eriod ofsix months at any time a er
I f hs, or s c �r 0�
r
)in t
(6
'wo w p
I I p k s not c in en ed th s n n
0
and 0'd n
rs,
or 0 m rs c w X 0 0 u r _ u le'
f t t, p r p rimi,mu t s cur 0 1 ctrc or P -s,Wea
1� I'm g,Sig S, Op s, 'r
uj
rk is c f ened nde tand ha e a ate e be e ed rEe a Ar bn ell Pools, urnaces,Boilei
0 u
T , s , r C, s, t
a 1, a dA, n.�h nff e a
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER qR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1hereb ed this qpplica ' n
,y ceryfy. ave re n am" and know the same to be true and correct. Allprovisions oflaws and ordinances governing this
type pj work .. be c lie 1i er eci ed ein or not. 7he granting of a permit does not presume to give authority to violate 0,cancel the
sfaw r ating construction or the peFformance ofconstruction.
provisions o other e st 'o cal
Signature virner Signature of Contractor
Print Name Print Name
.......... ................................I..........I..............................................................................
Sworn t S 6c Mbed before rpeV-� Sworn to and subscribed before me
this �f . 201 this Day of 20
LINDA
Not&vf'Pijblic MYCOMMI alayo 1A i
EXPIRES:January 10,201
ers
Bonded Thru Notary Public Underwri
Revised 0 1.26.10
Pow
-4 --W*-RWA
CITY OF ATLANTIC BEACH
I E COPY
F L
U4
O"ER / BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION
CONTRACTING"REQUIRES OWNER BUILDER TO ACKNOWLEDGE THE LAW-
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN E,%F_MPTION TO THAT
LAW. TBE EXEMPTION ALLOWS YOU,AS TBE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A CONEVIERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. TBE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BULLTFOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF W1THN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,WMCH IS IN VIOLATION OF TfIIS E_XF-MPTION. YOU MAY NOT
MRE AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRM BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMP—ENSATION INSURANCE BE
PURCHASED.
Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENAL TY UNDER FLORIDA STATUTE NO.
455-228(l). AN-OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS
CERTIFICAT E" TO ASCER TAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THA TI I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
'Sol � �;kp lel 5-6cl Slo ct
ADDRESS PHONE NUMBER
?V-QA eva ns
PRAT NA�E
Sl(MATURE DATE
day oF-' in the county of
j0d::L
Ily d herin�2d
Before me thll;�� im
Duval,State of Florida,has persona eare y f herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of_,Co of
0 Personally Kn Nol,111,11 pil
13 P 11'1111� 114
roduce entiH !on- � �� ,!I 1 11 orids
rl&y L GtAhlmm <
commissli;h Irp 004990
116111
Signature:
F:/BLDGIO�er-Builder Affadavit;RFVISED:41161
N01E:INSTALL ANCHORS PEP
VIANURACTUMR5 REQUIREMENTS Typical DctaI!5 fOr Concrete Installation5 RO-411 EV12W:Q IIE2�JM�_Up_daW
(2)-5iMPWN'1-13-0 14-0,C
a[l G*GALVANIZED CABLE TIE N to-13omph)OR,5PH4 @ I G,O.C�
V 50-1 GOmph)AND(1)1/2'x4'LAG
DOWN ENGINEERING PART
#5 1556(OR EQUIVALENT), BOLT THRU BASE PLATE D151 2.G BLOCKING
TIGHTEN TO 500 LBS OF TEN51014 50 DIA.THRI)DOLT WITH Z'WA5h W6U-RFD MR
VINUTIE MAN MMA-)8 OR EQUAL W1 A44�GALVANF&D OR EQUIVALENT THRU BOLT
50'5IMPSONTITEN OR WEDGE-ALL I 10 MPH WIND ZONE; �ATTACHMENT.
EMbEOfD 3-MIN,INSTALL A 5/&DLk X 40-dR—OUND ANCHOR WITH
T7
MINIMUM 00 4-MONM BLAB EDGE�
60)
130 AND ISO MPH WV.40 ZONE,
515�DIA_X 4&—GROUND ANCHOR WITH
5INGLE G-HELIX(MODFL#590GS),
I GO MPH WIND ZONE'
L NOTE#I
SEE GENERA a
(SEE CHART FOR QUANTITIES)
311 G'GALVANIZED CABLE TIE Typical Deta115 fOr Ma5oaDf Block In5tallaticir;5
DOWN ENGINEERING PART (2)-6tMP5ON'Hal @.I W O.C.
RU BASE PLATE DDL 29G BLOCKING
U!5t(3)w3JJ G'GALVANIZED CLA&4.r REQUIRED FOR
#51556(OR EQUIVALENT), (I 10-t 30rrfb)OR-SFK4�Q I W O.C,
TIGHTEN TO 500 L135 OF TENSION (J 50-140mphl AND(1) IlVx4'LAG
BOLT TH
TIE DOWN ENGINEERING PART 515*DIA.THRU BOLT WITH 2'WASHER� THRU BOLT
053&X(OK EQUIVALENT) A449 GALVANIZED OR EQUIVALENT ArrAchmeNT.
L k
I I a MPH WIND ZON
I 10 MPH WIND ZONE-
112'DIA,X 30'GROUND ANCHOR wiTR
SINGLE 4�HELIX (MODEL 059655) tAW DIAM..X 4(7 GROUND ANCHOR
WITH SINGLE 9*HELIX,(VIOM#39OGO)
136 AND 150 1VPH Wi,14D ZONE. 130 AND 150 MFH AAND ZONE-
518"DIX X 417 GROUND ANCHOR V,1
5/8'D!AM..X 48'GROUND ANCHOR
51NGLE9'HEUX(MODEL#590GO)
WITH SINGLE G'HELIX(MODFIL#59OG5) fILOCK
I GO MPH WIND ZONE- 160 MPH WIND ZONE-
51ft GENERAL NOTE#I T) SEE GENERM NOTE#10
(SEE CHART FOR QUANTfTiC5) (SEE CHART FOR QUANTITIES)
HILTI KWI&15OLT MiN. 112'DIAM.WIT 4 STUDS.SEE FLAN5 FOR SPACING
A 5.5'MINIMUM tMBEDMrNT AND A
1-7!5'MIN.EDGE DISTANCE,SPACE ANCHORING SCHEDULE
ANCHOR5 AT 5'-O'O.C.FOR GLO'TO IX�:2�4 F.T.BOT Tom rLATE SWIWn S.ildmi1�01-81o.
N N-b., 150 ISO
.,id-q DUILDING5,.4,-a rop I o,-r,To 'Ar.Nh L-9th of 131ackIlIP10H U1 3PQ�M Ph!!.PH
14'-a BU10NG5 w-w i(r-r I r-w 4 2 2 2 2
6'4- 12'-W 1 T-W —4 -2 -2 -2
;_T_T
_-N.-
V-7 ir-w r-T 4 2 2 2 2
7r
r4r IZ
N=h i7- 1r4r 14'4r r-w a 3 3 3 3
ir4r mr r4r 5 3 3 3 3
4
I(W IV r 2
i(T-cr Mr -K 2
lc.(r r-w
i(rAr 3--1/
I(r_w 160 r-T 6 3- 3 3 3 Low
Typical Anchormj.�f a FloorlC55 Buildint35 to Concrete 5!ab Detail 117-V 2��7 -3 -3
1Ir_v 2vw r-(r 10 4 4 4 4
i(mr W-6F-r-w 12 -5 -5 _F
DE51GN PAMMfffR5 111-w I" T-W 6 2 2 2 2
W-W 14'-Ir - r-(r __5 2. 2 2 2
1. WIND DESIGN PER A6CZ 7-10 HIM 161-W r-cr 2 1 2. 2
2.0155IGNAMNO SPEED -t I OM.PH-13OMPH-150 MPH�I Go MPH _F1-Y _74;_--a -3 T_3 +[_3
3.WINE)EXF05URE CATEGORIES., TF(F_i47z;,_ Tw 10 3
f�Or�P6:B.C*D 130,ftipht 5,C 4 D - t 50�pht B.C 4 0 . I GO�ph,-5 t C 7'-W 12 4 4 4 4 now-A-.*
4.wwo impoRrANcE FACTOR; I'D -T-0- 14 4 4 4 4
5.FNCLC5URE CLA55IFICATION: ENCLOSED II%(r 40.0' 1.�'. is 5 5 5 5
G.DESIGN MEETS INTERNATIONAL BUILDING CODE 200s 4 MORIDA BUILDING CODE 2010 a 2
AM 2 2
H,4r iw-w -W�e 2 2
GENERAL NOTES, 11114r 101-w —W:W---V 3 3 3
trw =4r _A61 -A 3 3 3
1. DESIGN fOk MIN 2,500,FBI CONCRETE _W�_" W-W 10 13 3 3 3-
_T THE MINIMUM WORKING LOAD Of 3150 bs�AND AN ULTIMATE LOAD OF 111-r 3(Y-O* r-w 12 4
2. ALL HEUX ANCHORS MUST MEE
41725 Ibq�.
fiEUCAL ANCHOR FOR 1 r 14 5 5 6 5
h WIND ZONES MUST MEET A MINIMUM kVORRNG LOAD Of 3484 fb5, IV-F 49-(r 61-V is -5
.3 OMP
AND AN ULTIMATI!LOAD OF 5200!b5. 1-6 -0
4. ANCHORS MUST BE IN5TALLED TO MANUFAC`rURfP5 RECOMMENDATIONS.ANY 5tNDING OR DAMAGE -71:F_i6V 676- 10 6
CAUSED UPON INSTALLATION WILL VOID ANCHOR AND MUST BE DISCARDED- IT-W 14!-0' W-61 9 2 2 2_ z
5. CONTRACTOR smu VISIT TKt SITE AND THOROUGHLY FAMILIARIZE TKI WITH EXISTING jE-w.�____ __T- li�C
-_F 9 _.____3 3 3 Z Ii-
CONDITION$.CONTRACTOR IS RESPONSIBLE FOR MftnNG 501L CLASSIFICATION FOR SIZING HELICAL Mr 29,M W-61 12 3 3 3 3
ANCHOR-'5 PER MANUFACTURERS REQUIREMEN15. _w(r -I—------- 0
G. ONE ANCHOR SMALL BE P!ACED AT EACH BUILDING CORNER MT111N 12F OF CORNIER 174r -W-,0* —5 .:L. 4� 4 4
7, ANY.MOUTPEP INTERMEDIATE ANCHOR5 5HAUL BE PLACED EQUAL DISTANCES APART FROM EACH OTI111!R� IT-0.
15. THE ANCHOR MUST BE IN THE BITE 501L CLA55 IN WHICH THE LOAD REQUIREMENTS WERE SET, 174r 40-ir W-6, 24 6 a 6 5 q 0
9. USEJIE-DOWN CNIGNEERIXG,�OR COMPARABIf) 112'X 30'GROUND ANCHOR WITH SINGLE 4-VELF)(OR
24 _6 6 6 a L)
5W DIA.X 401 AND 4&GROUND ANCHOR WITH SINGLE G"hELIX 13!4r 5(r_T kr-v v-_-7 -7 1_r -1
10, FOR I COmph WIND ZONES USE TIE-DOWN ENGINEMNG(OR COMPARABLE)MODEL#59090 3141 DIAM. 17-r 14'(r W-W 12 2 2
x 3W WITti A DOUBLE 4'HEUX VJ5E IN 501L CLA55E5 2)OR MODEL#59250 5/8'DAM..30�W[TH A G*
HEUXANO A WHEUX(USE INWIL CLA65E5.3t4l 131-W 1wAr W4r 12 3 3_3 3
IT-W 2Ir4r 8 3
It. INSTALLATION OF THE ANCHORS MUST MEET ALL AT UQUIRfMFNT5 A5 SPECIFIED 13Y TIE DOWN _2__2. �In
11 ,11
t 3
4
4
s
R 3
4
72
i3,r 24,-cr 6*-V 20 4 4 4 4
ENGINEERING,INC TO INCLUDE REQUIREIVENT51\15 FOR.5fACING AND 51TE SPECIFIC 501L CommTION5
12. MAXIMUM STRUCTURE HEIGHT 15 42 FEET
IS. NUMEIFALOP Mr 36!�W 11. 28 5
ANCH095 L15TED IN ANCHOR SCHEDULE AKE THE MINIMUM REQUIRED NUMBER Of= ITV_Ta:a�_ 32 1— 6 6 8
ANCHORS TO RU14 DOWN EACH SIDE WALL(THE TOTAL NUMBER Of ANCHORS REQUIRED PER BUILIDING
WOULD BE ZX THE NUMPM.L15TED IN THE SCHEDULE) IT-W .01 67-6' 36 1 7 1 7 1 7 1 7
DE5IGNFD FOR-
LAKK 15UILD ER5
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409 DICK50N 5TRfET
Haney Associatesi Inc.
VIDALIA,6A,.30474 Engineering&Construction Plaunin
MOJECT NUMBER: 11.0.H..349,SI.SIJII�S.C.2%82-Ph-W-&6-76M Aid.9"43&13MN
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MAP 'TO SHOW,,. SURYEY OF
L-0t3&Z-SECTiON WO. S - SALTAIR 6
According to p/at recorded in the cuiz;zF-N-r public records of
Duval County, Florida in Plat Book )0 Page I
For
FRED M�LLS
Scale I": 2.d Daf e OCTO 13 F-R 5 1 197(0
Robert M. Angas and Associates
Consulting Civil EngineeA and Surveyors
107S HF-MDRICKS AVENUE
Jacksonville, Florida
M.byt File No. 4�IAG-59
Job No. 9-7(-(194- X-G40
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building De artment.)
800 Seminole Road
R-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us ed: 71
City web-site: http://www.coab.us L-2-a—te—rout
APPLICATION REVIEW AND TRACKING FORM
Property Address #yl J '.41— pALtment review required Y 'No
Applicant: a—
Ming &ZonLin
Tree Administrator
Project: Public Works
'��=UtilitKs:>
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 2'A*pproved. E]Denied.
(Circle one.) Comments:
ED
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: F]Approved as revised. nDeniel/
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAPProved as revised. FIDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Buildi D artment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us I /1===71
APPLICATION REVIEW AND TRACKING FORM
eparlm review required Yes No
Property Address: ment
=a ing & Zonijng�
Applicant:
Tree Administrator
,"Public Works
Project:
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt a e
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco I
Other: I
APPLICATION STATUS
Reviewing Department First Review: kJApproved. [:]Denied.
(Circle one.) Comments: jr-c;t �e CL-/Qm 4�,4 _e-64 J L
BUILDING 5 -ke4 rer-r A^d d 4'do, rbe t. 41 Atf off
Reviewed b -. Date:
TREE ADMIN. Second Review: F—]Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned�b the BuildirDiartment.)
S1 T�VED
800 Seminole Road I . V&
_7 Atlantic Beach, Florida 32233-5445 APR 2 b 2014 1 1
Phone(904)247-5826 - Fax(904)2 7-5845 JJ/y
E-mail: building-dept@coab.us Date routed:
i�BY-
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address j)-epadment review required Yes No
f7aWing &Zonin
Applicant: jgg,
Tree Administrator
Project: < Public Works
n=UtiIifle%-
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: pproved. E]Denied.
(Circle one.) Comments: YO
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: RApproved as revised. nDenied.
IB OOR Comments:
UBL T IT
1—6 IE
P LIC SAFET Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14109
p� City of Atlantic Beach APPLICATION NUMBER
V,\ Building Department RECEIVED
(To be assigned b the Building De artment.)
800 Seminole Road I
Atlantic Beach, Florida 32233-5 45 APR 2 5 2014
14
Phone(904)247-5826 - Fax(9 4)247-5845
E-mail: building-dept@coab.us y:_ Date routed:
�1/�
City web-site: http://www.coab..
APPLICATION REVIEW AND TRACKING FORM
Property Address: I JAgrre, — JlepaOlment review required Yes No
Applicant: W '22 Ee, C:�
Tree Administrator
Project: �"Public Works��
-3�u ti I itiels-�)
Public-Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: �Approved. ODenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:_ jo�� Date:
TREE ADMIN. Second Review: FlApproved as revised. FlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
' URCE-MENT COVER SHEET
CODEENF
LOCATION: -47S YCZ4� A- RESI 'V COMM
CASE NUMBER: Ig -loog,/ NAME:
COMPLAINTTYPE: DATE:
VIOLATION: /Uo
-Shlt-d
ACTION:
vl�INITIAL INSPECTION
DOOR HANGER COURTESY NOTICE
MEETING WITH TENA ON SI
INSPECTION
NOTICE OF VIOLATION-
REINSPECTION
CHECKSTATUS OF CMRRR NOTICE
-POSTING NOV AND AFFIDAVIT
MEETING WITH OWNER ON SITE
-NOTICE OF HEARING
CODE BOARD MEETINGS
OFFICER STATEMENT FORM
POSTING NOH AND AFFIDAVIT
TELEPHONE CALL
TELEPHONE MESSAGE
NOTICE OF REHEARING
-ORDER IMPOSING FINE W/COVERLTR
AFF NON-COMP W/CONTEST LTR
AFFIDAVIT OF COMPLIANCE
JILE LIEN
-RECORD LIEN FILE TO CITY CLERK
RELEASE OF LIEN
CE FINE MEMO TO FINANCE
LIEN LETTER
MEETING WITH RESPONDENT
-BUILDING PERMIT APPLIED FOR
CLOSED CASE
INTERNAL MEETING
REFER TO CITY ATTY/LIEN
COMPLIANCE MET
.OWNER OCCUPIED
TENANT OCCUPIED
VACANT
EVANS JOHN R LIVING TRUST Primary Site Address Official Record Book/Page rile*
14701 MARSHVIEW DR 398 SHERRY DR 16691-01071 9416
JACKSONVILLE BEACH, FL 32250-2063 Atlantic Beach FL 32233
398 SHERRY DR
Properly Detail Value Summary
RE# 170483-0000 2013 Certified 2014 In
Value Method CAMA CAMA
1px District USD3
Use 0100 SINGLE FAMILY — Total Building Value $61,441.00 $66,369.00
#of Buildings 1 — Extra Feature Value $1,510.00 $1,530.00
10-16 16-2S-29E — Land Value(Market) $80,100.00 $80,100.00
Legal Desc. SALTAIR SEC 3 Land Value(Aqric.) $0.00 $0.00
Subdivrisio 03115 SALTAIR SEC 03 Just(Market)Value $143,051.00 $147,999.00
5145 Assessed Value $143,051.00 $147,999.00
Total Area
The sale of this property may result in higher property taxes.For more information go to Cap Diff/Portability Amt $0.00/$0.00 $0.00/$0.00
Save Our Homes and our Property Tax Estimator.Property values,exemptions and other Exemptions $0.00 See below
information listed as'In Progress'are subject to change.These numbers are part of the 2014
working tax roll and vAll not be certified until October.Learn how the Property Appraiser's Taxable Value $143,051.00 See below
Office values property.
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History
Book/Page Sale Date Sale Price Deed Instrument Tvpe Code OualWwd1U—nqma1-1fW, Vacant/Improved
16691-01071 1/20/2014 $100.00 QC-Quit Claim Unqualified Improved
14564-00586 7/3/2008 $100.00 WD-Warranty Deed Unqualified Improved
13863-00758 3/30/2006 $405,000.00 WD-Warranty Deed Qualified Improved
13863-00757 3/30/2006 $100.00 QC-Quit Claim Unqualified Improved
13068-0244Q 1131/2006 $370,000.00 WD-Warranty Deed Unqualified Improved
09646-01265 5/26/2000 $138,000.00 WD-Warranty Deed Qualified Improved
08948-01045 5/8/1998 $119,900.00 WD-Warranty Deed Qualified Improved
04340-00804 3/3/1977 $41,000.00 WD-Warranty Deed Unqualified Improved
04237-01038 9/15/1976 $20,400.00 WD-Warranty Deed Unqualified Improved
03656-01038 IP3/1974 $17,300.00 WD-Warranty Deed Unqualified Improved
03476-00054 2/26/1973 $15,000.00 WD-Warranty Deed Unqualified Improved
Extra Features
LN Feature Code Feature Description Bldg. Length Width Total Units Value
Fireplace Prefab 0 1.00 $1,530.00
I FPPR7 0
Land&Legal
Land Legal
LN Code Use Description Zoning Front Depth Category Land Unlift LmW TyW L-nd Value] LN Legal Description
50.00 100.00 Common 50.00 Front Footage $80,100.00 1 10-16 16-2S-29E
1 1 0100 RES ED 3-7 UNITS PER AC ARS-2
2 SALTAIR SEC 3
3 LOT 362
Buildings
Building 1
Building 1 Site Address Element Code Detail
398 SHERRY DR
Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco
Roofing Structure 3 3 Gable or Hip
Wildling Type 0101-SFR 1 STORY Roofing Cover 3 3 Asph/Cornp Shingle
Year Bulft 11952 Interior Wall 3 3 Plastered
Building Value ____L$66,369.00 Int Flooring 14 14 Carpet
Int Flooring 12 12 Hardwood
Type Gross Area Heated Area Effective A7-a Heating Fuel 4 4 Electric
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